内容摘要：Federal officials have documented 922 cases and one death in Chihuahua. Officials, health workers and local leaders say the numbers are likely underestimated, and misinformation about vaccines and endemic distrust of authorities are their biggest obstacles.

Federal officials have documented 922 cases and one death in Chihuahua. Officials, health workers and local leaders say the numbers are likely underestimated, and misinformation about vaccines and endemic distrust of authorities are their biggest obstacles.

Marie Jean Denis, left, is examined by Jennie Joseph, lead midwife and clinic director at the Commonsense Childbirth clinic. (AP Photo/John Raoux)Joseph’s organization — called Commonsense Childbirth — is a smaller-scale example of that type of care.

It has clinics, a birthing center and training for health professionals. The midwives who run the program welcome vulnerable patients that other practices turn away, such as those who are uninsured or haven’t had prenatal care until late in pregnancy.About half the patients and much of the staff, including Joseph, are people of color. Research shows Black Americans are more likely to distrust the medical system than their white counterparts, but Joseph stresses building trust.Jennie Joseph, back left, lead midwife and clinic director at the Commonsense Childbirth clinic talks with client Regine Baramore as husband Scott holds six-week-old daughter, Yahareice. (AP Photo/John Raoux)

Jennie Joseph, back left, lead midwife and clinic director at the Commonsense Childbirth clinic talks with client Regine Baramore as husband Scott holds six-week-old daughter, Yahareice. (AP Photo/John Raoux)“We have these four tenets that go with my model: access, connection, knowledge and empowerment,” she said. Some patients “cry because they’ve never had that kind of care or respect.”

All of this, Joseph said, contributes to better outcomes. With thousands of patients over about 26 years, she and her colleagues have never had a maternal death.

— which refers to the death of a woman from pregnancy or childbirth complications during or within 42 days of a pregnancy — generally has been rising in the U.S. About 700 women die each year, with another 60,000 suffering related injuries or severe complications.Buturovic is one of many animal owners in Los Angeles who scrambled to get themselves and their beloved companions out of the way of

homes and other structures this week. It has overwhelmed shelters, whose leaders have implored people, if they’re able, to find friends or family to foster their pets.Wendy Winter and her husband decided Tuesday evening that they should buy some cat carriers so they could evacuate their Altadena home with their felines Purry Mason and Jerry. Less than two hours later, it was clear they needed to leave. The next morning, they learned the house they lived in for more than seven years was gone along with the rest of their street.

“There’s fear and loss and you just don’t even know,” she said. “You’re in shock.”They’re hoping to find friends to foster their cats for two months while they figure out what they’re going to do next. Winter said she and her husband are disoriented, and they aren’t sure they can provide their cats an environment where they will feel safe and comfortable right now.